Michigan — Targeted Issue

Michigan Pediatric Errors and Excellence Discovery with Simulation (MI-PE2DS)

Sept. 1, 2008 - Aug. 31, 2012

Grant Number
Project Overview
EMS personnel infrequently encounter critically ill or injured children. Clinical skills that are used infrequently will deteriorate. Recent studies of paramedics have demonstrated unacceptably high rates of errors in both prehospital care of children and in simulations of pediatric emergencies. Little is known about the underlying causes of technical, cognitive, or team-based pediatric EMS errors, or about combinations of factors that result in optimal treatment. Simulation provides a method of studying quality of care in rare clinical events. The goals of this project are to (1) develop and conduct a series of comprehensive, realistic pediatric clinical simulations for use by EMS personnel in a model mobile simulation laboratory for the purpose of discovering performance errors and identifying exemplary individual and team performance using root cause analysis methodology; and 2) compare errors detected in simulations with errors identified in similar case controls using a statewide electronic EMS information system.
Michigan State University, Kalamazoo Center for Medical Studies
Main Contact
Award Amount


Name Role(s) Phone Email
Richard Lammers, MD
  • Principal Investigator


Title Type Publication/Event Published/Presented Identifier Details
Errors and Error-Producing Conditions During a Simulated, Prehospital Pediatric Cardiopulmonary Arrest Research Paper/Publication Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare 2014
Medication Errors in Prehospital Management of Simulated Pediatric Anaphylaxis Research Paper/Publication Prehospital Emergency Care 2014
Root Causes of Errors in a Simulated Prehospital Pediatric Emergency Research Paper/Publication Academic Emergency Medicine 2012
Simulation-based assessment of paramedic pediatric resuscitation skills Research Paper/Publication Prehospital Emergency Care 2009